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State “Easy Enrollment” Programs Gain Momentum, Lay Groundwork for Additional Efforts to Expand Coverage

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…most difficult to reach and underserved Americans — will require innovative efforts to broadcast the availability of subsidized insurance and facilitate enrollment. To that end, several states, following an inaugural effort in Maryland, have proposed or are implementing “Easy Enrollment” programs, creating a new avenue to enrollment through the tax-filing process. In a new post for the Commonwealth Fund’s To…

Restraining Balance Billing by Air Ambulance Providers: CHIR Keeps Up with Federal Advisory Committee and Regulatory Actions

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…protections of the NSA were adopted, Congress established an advisory committee on air ambulances, the Air Ambulance and Patient Billing Advisory Committee (committee) as part of the Federal Aviation Administration (FAA) Reauthorization Act in 2018. The committee was charged with “reviewing options to improve the disclosure of charges and fees for air medical services, better inform consumers of insurance options…

July Research Roundup: What We’re Reading

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…needs of communities experiencing health disparities. Some under-resourced communities may be priced out of the market due to the inclusion of some benefits in standard plans, or may be subsidizing the premiums of more well-resourced communities. Non-traditional benefits, such as food assistance for populations experiencing food insecurity, may be passed over in favor of benefits that do not fully meet…

The Impact of the COVID-19 Pandemic and Recent Federal Policy on Small Business Health Insurance

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…dramatic change. In a new report, researchers at Georgetown University’s Center on Health Insurance Reforms and the Urban Institute assessed market trends and interviewed health insurers, brokers, and members of the small business community in six states to gain insight into how the COVID-19 pandemic and recent federal policy changes have impacted how the small group market is working for…

State Efforts to Standardize Marketplace Health Plans Show How the Biden Administration Could Improve Value and Reduce Disparities

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…financial barriers to high value services, such as primary care and chronic disease management. Several states are leading the way by offering standardized benefit plans via their state-based marketplace. In their latest post for the Commonwealth Fund, CHIR experts assess these states’ experiences and the lessons they may offer for the federal effort. You can read the full post here….

State Public Option–Style Laws: What Policymakers Need to Know

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…option plans that will go on the market in 2023 and 2026, respectively. In their latest To the Point blog post for the Commonwealth fund, CHIR’s Christine Monahan, Kevin Lucia, and Justin Giovannelli summarize these laws and identify common themes and areas of divergence across the three states. You can read the full post here. We hope this resource will…

States Tackle High Out of Pocket Costs for Insulin but Lack Tools to Bring Rx Prices Down

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…a growing body of evidence that insulin rationing can worsen health outcomes, and lead to higher costs associated with hospitalizations and other complications. This is prompting many states to enact or consider insulin copay caps. These bills generally impose a statutory limit on how much an insured patient can be charged in cost-sharing for insulin, although they notably do not…

Putting Surprise Billing Protections into Practice: Biden Administration Releases First Set of Regulations

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…providers or facilities in specific situations will face no more than normal in-network cost sharing. Under the law, out-of-network providers and facilities are banned from sending consumers bills for amounts beyond in-network cost sharing. In their latest To The Point blog post for the Commonwealth Fund, CHIR’s Jack Hoadley and Kevin Lucia review the new rules and assess their impact…

June Research Roundup: What We’re Reading

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…or underserved populations, or whether they may be helping to mitigate disparities. They find that: Current methods of using experience data and methods for trending data forward to project future spending may not accurately reflect the health care needs of underserved populations. Because systemic barriers in accessing health care may depress utilization among these populations, that underutilization can be embedded…

If You Lost Your Job, You May be Newly Eligible for a Lower Cost Health Plan

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…their marketplace application and report their unemployment compensation income. If the unemployment compensation income is not from the last month, consumers will be prompted with a new question to attest to their receipt or approval to receive unemployment compensation in 2021. If consumers do this before July 31, they will be eligible for these enhanced subsidies beginning August 1, 2021….

The opinions expressed here are solely those of the individual blog post authors and do not represent the views of Georgetown University, the Center on Health Insurance Reforms, any organization that the author is affiliated with, or the opinions of any other author who publishes on this blog.